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If you do not see a "Thank You" page after you submit, please check your form for possible errors.
	Fields marked in bold are needed.
I understand the doors open at 6pm and child pick-up is 9:00pm	Yes No
February 12, 2016	Confirm the date by checking the box.
* First and Last Name of Adult
* Your email address.
* Your phone number.
* Name and age of each child. An older sibling must be in the auditorium in order to qualify for nursery care.
* Medical Concerns	Yes No
If there are medical concerns please describe.
* Have you signed a release form?	Yes No

Print out the "Minor Release Form" and be ready for the registration. Just click on the pic to the right and print.	CLICK HERE
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Parent's Night Out

Friday, February 12, 2016

Room for 60 in the auditorium and 8 in the nursery

(to qualify for the nursery at least one sibling must be present in the auditorium)

We look forward to welcoming the following audience members . . . On Hold

Bring Your Kids to the Show

At The BURNNIE Show, we need an audience of children for the taping of the TREGGLLUSIONS Live Show segment. Children may be dropped off at Abiding Savior Free Lutheran Church, located at Sioux Falls, South Dakota, on 49th and Bahnson Street, at 6:00 p.m. Children are then allowed to be picked up at 9:00.

Parents need to sign release forms to allow children to be filmed for this television program. Children should not be wearing logos or any copyrighted graphics on their clothing. No gum is allowed. It is important to note that we are not able to accept walk-ins dues to the popularity of this event. You MUST pre-register.

Activities for All Ages

Children enjoy a selection of activities, including stations in the gym, watching "BURNNIE" on the big screen, and being filmed as the "audience" for the "TREGGLLUSIONS Live Show" segment.

All ages are invited, with a nursery provided. The nursery is offered if a sibling is present in the auditorium for the taping. The nursery is for ages three and under.

Details

The best way to reserve your spot is to register early. Registration for the next event is open the day after the previous Parent's Night Out event.

Please advise by email at burnnie@burnnie.org if you are unable to attend after you have pre-registered in order to make these seats available for others.

A "one time only" release form granting permission for television filming of your child is required. Be sure to complete the form at the Parent's Night Out event or print the minor release form below . . . unless you have already filled one out.

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